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Organization
GREAT LAKES CHIROPRACTIC OF ST. MICHAEL PLLC LTD
Active
Organization
GREAT LAKES CHIROPRACTIC OF ST. MICHAEL PLLC LTD
Active
Other names
Great Lakes Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARTIN DC (CHIROPRACTOR/OWNER)
(763) 515-6650
Entity
Organization
Contact information
Practice address
116 CENTRAL AVE E, SAINT MICHAEL, MN 55376
(763) 515-6650
Mailing address
116 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
05/29/2018
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